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General NPI Number Information
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NPI Number | 1104369206
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Entity Type | Organization
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Legal Business Name | K&P MEDICAL TRANSPORT LTD.
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 25288 ELLIOTT RD
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City | DEFIANCE
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State | OH
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Zip | 43512-9003
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Country | US
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Telephone | 419-785-3246
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Fax | 419-782-6478
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Provider Business Mailing Address
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Address Line | 25288 ELLIOTT RD
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City | DEFIANCE
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State | OH
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Zip | 43512-9003
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Country | US
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Telephone | 419-785-3246
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Fax | 419-782-6478
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ADAM ROBERT WAGNER
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Credential |
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Telephone | 419-785-3246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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